Registration Form — Ted Herbert Music School

Welcome to the Ted Herbert Music School & The Majestic Theatre Family

We are thrilled that you are joining us to further your learning in the arts! We offer the convenience of registering online; there is currently no Registration Fee. If you prefer, you can also register in person at The Majestic Theatre Office (880 Page Street, Manchester); our office is open Tuesday-Friday from 9am-5pm. Thank you for registering prior to your first lesson so that we can spend all of your lesson time making music!

Student Name

First Name

Last Name

Student Email

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Student Date of Birth

YYYY

Parent/Guardian Name

Parent Information is only needed if student is under the age of 18.

First Name

Last Name

Parent Email

Phone

(###)

###

####

List any previous music education or experience

List any medical conditions or learning adaptations the instructor should be aware of

How did you hear about us?

Lesson START DATE

YYYY

Lesson DAY and TIME

Lesson TEACHER and INSTRUMENT

Occasionally we use photos of our students to celebrate the good work happening at Ted Herbert Music School. If you wish to be excluded from these opportunities please specify below

Did a current Ted Herbert student refer you? If so, what is their name?

I have read and understand the Ted Herbert Music School Lesson Policies & Guidelines.

Selecting YES indicates: "I understand and do agree to the policies and terms listed above."

Any other comments, questions, or considerations you would like us to know about?

Welcome to the Ted Herbert Music School & The Majestic Theatre Family

Thank you for registrering for lessons at Ted Herbert's Music School and Rentals. Please let us know at any time if we can make your experience at Ted's better.

QUESTIONS? Contact us here or call (603)669-7469

We are looking forward to making music with you!